Klink, Kimberly Shawn

Klink, Kimberly Shawn is an individual health care provider with primary practice located at 2828 E Davis Dr , Terre Haute IN 47802-9327. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Klink, Kimberly Shawn can be contacted via phone (812) 917-2169.

Contact Information

Primary practice address
2828 E Davis Dr Terre Haute IN 47802-9327
Phone: (812) 917-2169
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001418A Indiana

Profile Details

NPI number 1497736003
LBN Legal business name Klink, Kimberly Shawn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Mar 7th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497736003 NPPES
Indiana Other 000000360964 ANTHEM BLUE CROSS BLUE SH
Indiana MEDICAID 200508910 ANTHEM BLUE CROSS BLUE SH

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